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	Win / Loss Statement Or Tax Ticket (W-2G) Request Form * Please Check Desired Statement: Win / Loss _______ Year(s) Requested Tax Ticket(s) (W-2G) _______ Add to Reading List Document Date: 2013-12-13 15:23:51 Open Document File Size: 31,28 KB Share Result on Facebook

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Win / Loss Statement Or Tax Ticket (W-2G) Request Form * Please Check Desired Statement: Win / Loss _______ Year(s) Requested Tax Ticket(s) (W-2G) _______Add to Reading List